Director Network Contracting - Remote in Northeast Region

Company: UnitedHealth Group
Location: San Francisco
Posted on: March 20, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

There's never been a time that was more right for people who want to lead. Health care is changing and evolving at a pace that few could have predicted. Technology, ideas, and bold vision are taking companies like UnitedHealth Group to new levels of performance. This is the time and the opportunity that can bring your impact to a whole new level. As a leader within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through strategy development and execution, contract negotiation, financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

If you are located in the NorthEast Region, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• 
  
• Manage unit cost budgets, target setting, performance reporting and associated financial models
  
• Develop and implement network strategies for the upstate New York market
  
• Negotiate contracts with health systems and provider groups with a focus on unit cost competitiveness and affordability to support total cost of care and line of business objectives
  
• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
  
• Manage the implementation of new concepts, technologies, and products to meet emerging customer requirements
  
• Direct cross-functional and/or industry-wide teams with segment-wide and/or enterprise-wide impact
  
• Influence senior management decisions that impact business direction
  
  
  Your leadership skills and drive to get things accomplished will be key to your success in this role. The end goal is to produce an affordable and predictable product for customers and business partners within the upstate New York market, so you will need to be able to lead us forward and help us develop provider networks with Accountable Care Organizations yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management.
  
  
  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
  Required Qualifications:
  
  
  • 
    
  • Undergraduate degree or equivalent work experience
    
  • 6+ years experience with provider contracting and utilizing financial modeling in making rate decisions
    
  • 3+ years of experience focused on facility reimbursement and contract negotiations
    
  • 2+ years of experience in a leadership role within the health care industry
    
  • Experience in managing direct reports in a leadership role
    
  • Extensive knowledge of, and work experience with, the upstate New York facility, physician, and ancillary provider communities
    
  • In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, and other provider payment methodologies
    
    
    Preferred Qualifications:
    
    
    • 
      
    • Post graduate degree
      
    • 6+ years of experience in a network management-related role handling complex network providers with accountability for business results
      
    • Knowledge of new product development and pricing
      
    • Knowledge of value-based care arrangements
      
    • Ability to develop and implement programs and projects in a strategic and professional manner
      
    • Solid ability to communicate effectively and efficiently (both verbal and written) within UHC and externally
      
      
      
      Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.
      
      Connecticut or New York City Residents Only: The salary range for Connecticut/New York City residents is $113,500 to $218,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
      
      All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
      
      At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
      
      
      Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
      
      UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, San Francisco , Director Network Contracting - Remote in Northeast Region, Executive , San Francisco, California